Level 4 Extraocular, Repair, and Plastic Eye Procedures in Texas
What 40 hospitals in Texas charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$28,922
Hospital list price billed
Average allowed
$3,485
Medicare's payment + patient's share
Medicare paid
$2,770
Average per service
State rank
#23 of 34
1 = lowest average payment
Hospitals in Texas billed an average of $28,922 for level 4 extraocular, repair, and plastic eye procedures, about 8.3 times the average medicare-allowed amount of $3,485. That payment is 7% below the U.S. average of $3,737.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $3,485Billed $28,922
About 12¢ was paid for every $1 hospitals in Texas billed for this service.
Texas hospitals: level 4 extraocular, repair, and plastic eye procedures
Every Texas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Texas
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Texas Health Presbyterian Hospital DallasDallas, TX | $3,258 |
|---|---|
| Seton Medical Center AustinAustin, TX | $3,274 |
| Trinity Mother Frances SystTyler, TX | $3,355 |
| University Medical CenterLubbock, TX | $3,355 |
| Baylor University Medical CenterDallas, TX | $3,419 |
Highest
| Methodist Hospital,TheHouston, TX | $3,585 |
|---|---|
| St Lukes Episcopal HospitalHouston, TX | $3,585 |
| Memorial Hermann Texas Medical CenterHouston, TX | $3,585 |
| Univ of Tx M D Anderson CtrHouston, TX | $3,585 |
| Scott & White Memorial HospitalTemple, TX | $3,529 |
Level 4 Extraocular, Repair, and Plastic Eye Procedures in other states
Questions
How much does level 4 extraocular, repair, and plastic eye procedures cost in Texas?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 40 hospitals in Texas was billed at $28,922 on average, while the average medicare-allowed amount was $3,485, of which Medicare paid $2,770. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Texas, average charges were 8.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.